Job Description

Job Description

Palmetto GBA is one of the nation’s largest providers of high-volume claims and transaction processing, contact center operations, and technical services to the federal government and other commercial customers. Our core business is providing services to CMS Medicare beneficiaries, providers, and health plans. Palmetto GBA is one of the few Medicare contractors with experience in all Medicare business segments – Medicare Part A, Medicare Part B, Durable Medical Equipment (DME), Home Health and Hospice (HHH), and Medicare Advantage (MA) Part C and Part D. This broad experience base offers CMS a contractor with unique expertise and the ability to offer customized, creative, and proven solutions to complex problems.

Position Purpose:

This position with Palmetto GBA – one of BlueCross BlueShield's South Carolina subsidiary companies will be responsible for defining customer needs in technical and business contexts. Ensuring the proposed technical and business solutions meet the customer's objectives for the work effort. Providing guidance with planning and prioritization of business support-related activities.

Government Clearance:

This position requires the ability to obtain a security clearance.

What You’ll Do :

• Elicit and document user requirements to meet a business objective. Identify and validate requirements and organize the information into a logical document that is understood by the customer and Information Systems.
• Guide both technical and customer departments in the development of the systems that support the business solution.
• Facilitate the transfer of knowledge about the direction of the business units to others who support them.
• Ensure the accurate deployment of solutions through review of problem logs, assisting with test plans and test matrices, and other analysis activities.
• Provide input on the business direction for system changes.
• Validate the business need for solutions to business problems and process improvements.
• Assist in the development and documentation of training materials. Mentor or train less experienced staff.

To Qualify for This Position, You’ll Need the Following :

Required Education:

• Bachelor's

Degree Equivalency:

• Associates degree plus an extra 2 years job related work experience for a total of 6 years of required work experience (see "required work experience")

OR

• 8 total years required work experience.

Required Work Experience:

• 4 years of IT business analysis experience.

Required Skills and Abilities:

• Demonstrated understanding of concepts of the supported business unit. Basic knowledge of standard industry practices.
• Demonstrated knowledge of procedures for the business unit.
• Able to communicate effectively with technical and non-technical audiences, including the ability to express complex technical and business concepts to all management levels, peers, and the business units.
• Strong teamwork and interpersonal skills.
• Understands how IT affects an organization and is able to link it to business processes.
• Excellent analytical skills. Good conceptual skills.
• Able to read and comment on test plans and test matrices, project plans, and scope and design documents.

Required Software and Other Tools:

• Microsoft Office.

What we Prefer You Have

• Agile Product Owner or Agile Business Analyst Experience.
• Transactional Data Experience.
• Excellent verbal and written communication skills. Will be working with and presenting to other companies, contractors, and CMS.
• Experience with Jira/Confluence
• Experience working within Scaled Agile Framework (SAFe) processes.
• Able to read and comment on test plans and test matrices, project plans, and scope and design documents.
• CMS and/Or Medicare experience including provider enrollment knowledge.
• Bachelor's degree-in Computer Science, Business Administration, or other job related field or 4 years of job related experience with government business and/or BCBS companies.
• Conceptual understanding of project management techniques.
• Able to influence and negotiate solutions to business problems.
• Visio, MS Project or similar software, data mining using DB2, SQL, and/or other tools.
• Certified Business Analysis Professional (CBAP), HIPAA, LOMA.

Work Environment:

• Fast-paced, high demand environment.
• Work is frequently performed against mandated deadlines.
• Knowledge of when and what to delegate is essential in order to balance multiple high-priority tasks.
• Fast paced, multi-platformed environment which may require action and response 24X7 to support the technical business needs of the customer.

Our comprehensive benefits package includes the following:

We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment.

• Subsidized health plans, dental and vision coverage
• 401k retirement savings plan with company match
• Life Insurance
• Paid Time Off (PTO)
• On-site cafeterias and fitness centers in major locations
• Education Assistance
• Service Recognition
• National discounts to movies, theaters, zoos, theme parks and more

What We Can Do for You:

We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.

What to Expect Next:

After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.

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